Asked by Jhonny Rivera on May 18, 2024
Verified
The patient requires routine temperature assessment but is confused, easily agitated, and has a history of seizures. Which route will the nurse use to obtain the patient's temperature?
A) Oral
B) Rectal
C) Axillary
D) Tympanic
Seizures
Sudden, uncontrolled electrical disturbances in the brain that can cause changes in behavior, movements, feelings, and levels of consciousness.
Temperature Assessment
The process of measuring the body's temperature to detect fever or other medical conditions.
- Select the optimal approach for temperature gauging in assorted patient contexts.
Verified Answer
TI
This Is CymoneMay 20, 2024
Final Answer :
D
Explanation :
The tympanic route is easily accessible, requires minimal patient repositioning, and often can be used without disturbing the patient. It also has a very rapid measurement time. Oral temperatures require patient cooperation and are not recommended for patients with a history of seizures. Rectal temperatures require positioning and may increase patient agitation. Axillary temperatures need long measurement times and continuous positioning. The patient's agitation state may not allow for long periods of attention.
Learning Objectives
- Select the optimal approach for temperature gauging in assorted patient contexts.
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